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The Lymphatic System http://www.faqs.org/ health/Body-by-Design- V1/The-Lymphatic- System.html

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Page 1: The Lymphatic System  by-Design-V1/The-Lymphatic- System.html

The Lymphatic System

http://www.faqs.org/health/Body-by-Design-V1/The-Lymphatic-

System.html

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The Lymphatic System

• The body is constantly in contact with bacteria, fungi, and viruses (all considered pathogens)

• The body has two defense systems for foreign materials

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Types of Defense

• Non-Specific Defense

– First & Second Line of Defense

– Doesn’t care what the pathogen is – your body will be defended!

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Non-Specific Defense

• Non-Specific Defense Mechanisms Include…– Skin: mechanical barrier, acidic skin secretions

can also defend– Mucous Membranes: Mucus and nasal hairs

trap microorganisms; Cilia move mucus out of body; Gastric juice, saliva, and tears have enzymes that destroy microorganisms

– Skin and Mucous Membranes are the first line of defense against pathogens

– Cellular & Chemical Defense: Second line of defense; includes…

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Non-Specific Defense

• Phagocytes: • Cell that engulfs a

foreign particle, enclosing it in a vacuole; destroyed with enzymatic contents of lysosomes

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Non-Specific Defense

• Examples of phagocytes include macrophages (in body tissues, developed from monocyte WBC), and neutrophils (WBC)

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Macrophage engulfing E-Coli

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Non-Specific Defense

• Natural Killer Cells: • Defensive cells that

can kill cancer cells and virus-infected body cells

• Release chemicals to destroy invader’s cell membrane and nucleus

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Non-Specific Defense

• Inflammatory Response:• Non-specific response triggered whenever body

tissues are injured

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Non-Specific Defense

• Benefits of inflammatory response include:– Preventing the spread of damaging agents to

nearby tissues– Disposes of cell debris and pathogens– Sets the stage for repair

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Non-Specific Defense

• 4 Signs of Inflammatory Response:• Redness – due to dilation of blood vessels

in area, bringing more clotting proteins/ oxygen/nutrients to the area

• Heat – due to dilation of blood vessels in area, helps increase metabolic rate of cells

• Swelling – due to plasma (lymph) leaking from blood stream into tissue spaces

• Pain – pain receptors activated by plasma leaking

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Non-Specific Defense

• All of the above symptoms are due to the inflammatory chemicals (including histamine and kinins) that are released when cells are damaged

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Non-Specific Defense

• Fever: response to invading pathogens

• Hypothalamus will reset internal temperature based on presence of pyrogens (chemicals secreted by WBC exposed to foreign substances)

• Fever inhibits the release of iron and zinc from liver and spleen needed by bacteria

• Fever also increases the speed of tissue repair, but if fever gets too high, it can screw up enzymes and proteins

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Specific Defense• Specific Defense

– Third line of defense

– AKA immune system

– Plans defense based on specific type of pathogen/antigen (The antigen is a marker on the pathogen!)

– Must first have an initial exposure before it can protect the body against the pathogen

– Involves the Lymph Vessels/Nodes and Lymphoid Organs (Tonsils, Thymus, Spleen, and Peyer’s Patches)

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Specific Defense

• 2 Types of Response: Humoral and Cell-Mediated

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Specific Defense

• 3 important aspects of immune response:

• Antigen specific – recognizes and acts against particular foreign substances

• Systemic – not restricted to the initial infection site

• Has memory – recognizes and mounts a stronger attack on previously encountered pathogens

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Specific Defense

• Antigens: any substance capable of exciting our immune system and provoking an immune response

• A foreign signal on the outside of a pathogen!• Examples of common pathogens/antigens

– Foreign proteins (ex: blood typing)– Pollen grains– Microorganisms (bacteria, fungi, virus)

• Side Note: Our immune cells do not attack our own proteins, but our cells in another person’s body can trigger an immune response because they are foreign (think: organ transplants, blood donation)

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Immune System Review

– Types of cells involved

• Lymphocytes (WBC): two types…

–B Cells: help with humoral defense, produce antibodies

–T Cells: help with cell-mediated defense, do not produce antibodies

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Specific Defense

• Both types of lymphocytes originate from red bone marrow

• What determines if it will be a B or T cell is where in the body it becomes immunocompetent (capable of responding to a specific antigen)– T Cells: lymphocytes migrating to thymus– B Cells: lymphocytes develop in bone marrow

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Specific Defense

• Our genes determine what specific foreign substances our immune system will be able to recognize and resist – they only become “activated” once exposed to the antigen

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• FYI: Because of the structure of human DNA (deoxyribonucleic acid; the genetic material determining the makeup of all cells), humans are not subject to certain diseases that dogs and other animals are, and vice-versa. For example, humans cannot contract distemper; however, dogs and cats can. Conversely, humans can suffer from measles; dogs and cats cannot. The genetic makeup of human cells (and of animal and plant cells, also) makes it impossible for certain pathogens to infect and reproduce in those cells.

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Specific Defense

• After becoming immunocompetent, both T and B cells migrate to the lymph nodes and spleen, but can be found throughout lymphatic vessels

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Specific Defenses

• Macrophages:

• Arise from monocytes (WBC) formed in the bone marrow

• Job is to engulf foreign particles (part of non-specific defense) and present fragments of these antigens on their surface (so T Cells can recognize them and become activated, helping out specific defense!)

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Humoral Defense

• Making the Antibodies

– B Cells with specific receptors bind to a specific antigen

– …which causes the B Cell to undergo “clonal selection” – a whole bunch of clones are made!

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Humoral Defense

– Most of the clones will become “plasma cells”, which are responsible for producing specific antibodies!

– A few of the clones will become “memory cells”, which will be ready to bind with the antigen if it should come around again

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Humoral Defense

• Antibodies– Soluble proteins

secreted by B cells (plasma cells)

– Carried in blood plasma

– Usually has a T or Y shape formed by amino acid chains

– Capable of binding specifically to an antigen

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Humoral Defense

• When antibodies attach to antigens, it can have different effects…

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Humoral Defense

– Complement Fixation: antibody will join with a “complement protein” on the invader; which will allow holes on the invader surface; will result in cell lysis (bursting of cell)

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Humoral Defense

– Neutralization: surrounds antigen to mask its effects

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Humoral Defense

– Agglutination: clumping of antigens; will allow macrophages to easily catch and engulf invaders

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Cell Mediated Defense

• Begins with macrophages destroying an antigen

• Macrophage will then put fragments of the destroyed antigen on the outside

• T Cells will recognize the antigen being presented by the macrophage and bind with the antigen (Antigen Presentation)

• After binding, T Cell clones form, but different classes of cells are produced

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Cell Mediated Defense

• Cytotoxic T Cell: “killer” cells, specialize in killing virus-infected, cancer, and foreign cells, often by inserting toxic chemicals, causing the pathogen cell to “blow up”

Note: basically does the same thing as a Natural Killer Cell, but does it to a specific pathogen!

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http://highered.mcgraw-hill.com/sites/0072495855/student_view0/chapter24/animation__cytotoxic_t-cell_activity_against_target_cells__quiz_2_.html

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Cell Mediated Defense

• Helper T Cell: “regulator/conductor” cells, encourages cloning of B cells, stimulates Cytotoxic T Cells to grow and divide, enhances eating capabilities of macrophages

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Cell Mediated Defense

• Supressor T Cell: helps to stop immune response once an antigen has been inactivated or destroyed

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• http://highered.mcgraw-hill.com/sites/0072495855/student_view0/chapter24/animation__the_immune_response.html

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Viruses

• Not considered “living” because has no cytoplasm or organelles

• Needs a living host cell to survive

• Will take over host cell to replicate

• Virus infections cannot be treated with antibiotics

• Some can be prevented with vaccines

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Viruses• Common Cold• Varicella - Chicken Pox – rarely fatal• Variola – Smallpox – often fatal – but now

eliminated thanks to vaccinations!• Influenza – MANY different strains!• Human Papillomavirus – HPV – can lead to

warts, cervical cancer, and some other genital cancers

• Rotavirus – leading cause of diarrhea among infants and young children

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Smallpox

Chicken Pox

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Viruses

• Mumps – swelling of salivary glands, and testicular swelling

• Measles – can lead to diarrhea, pneumonia, encephalitis, and eye infections

• Rubella – rash• Poliomyelitis – in less than 1% of polio cases, virus

enters the CNS, destroying motor neurons, leading to muscle weakness and paralysis; highly contagious

• Rabies – causes encephalitis; extremely fatal• HIV

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Rubella

Measles

Mumps

MMR Vaccination protects against

all three!

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Vaccination

• Administration of antigenic material to produce immunity to a disease

• Can be live but weakened, dead, or inactivated form of pathogen (virus or bacteria)

• Pathogens are grown in culture and killed/weakened, but surface proteins are intact enough to be recognized

• When injected, immune system will evoke a response

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• Are considered a “living” prokaryotic cell

• Does not need a living host cell to survive

• Most (99%) are good, but a few are harmful– Good ones help us with digestion, releasing

vitamins, eliminating body toxins, preventing fungal growth

Bacteria

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• Harmful bacterial infections can be treated with antibiotics

• Some can live harmlessly, but develop into an infection if immune system has had its resistance lowered (ex: AIDS)

• A few infections can be prevented with vaccines

Bacteria

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Bad Bacteria

• Tuberculosis – affects lungs• Streptococcus – affects throat (pharynx,

larynx, tonsils)• Botulism – weakens muscles, prevents

breathing• Bubonic Plague – spread by fleas that live

on rats; damages lymph notes• Cholera – affects small intestine, causes

diarrhea, vomiting, and rapid dehydration

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Bad Bacteria

• Salmonella – can cause digestive issues

• Escherichia Coli – aka E.Coli – some strains are good, but the bad strains can cause lower digestive issues or UTIs

• Syphilis – STD that causes lesions; if left untreated, it can cause issues with the heart and brain

• Impetigo – skin infection

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Bad Bacteria

• Diphtheria – causes upper respiratory issues

• Pertussis – whooping cough

• Tetanus – causes muscle spasms

• These last three can be quite harmful (even deadly) that we are given the DPT vaccination

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Antibiotics

• A substance or compound that kills or inhibits growth of bacteria

• Can either be made synthetically from chemicals or produced by fermenting different fungus molds

• Unfortunately, bacteria can mutate to become resistant to antibiotics

• EX: penicillin, amoxicillin, tetracycline, sulfa drugs, cefzil

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Fungus

• Are considered a “living” eukaryotic cell

• Includes molds and yeasts

• Some are good, such as fungi used to make antibiotics (penicillin) or baker’s yeast

• Infections can spread very easily!

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Bad Fungi

• Candida – Yeast Infection

• Tinea Pedis – Athlete’s Foot

• Tinea Cruris – Jock Itch

• Tinea Unguium – Nail Fungus

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Immune System Diseases

• Allergies– Abnormally vigorous immune responses– Different types…

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Immune System Diseases - Allergies

– Acute hypersensitivity

• Pathogen & resulting antibodies cause release of histamine…

• Which causes small blood vessels to become dilated and leaky

• Symptoms include runny nose, watery eyes, itching, reddened skin (hives), bronchial constriction (asthma)

• Antihistamine drugs can reverse effects

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Immune System Diseases - Allergies

– Anaphylactic Shock

• Allergen directly enters the blood and circulates rapidly throughout the body

• Examples: Bee stings, spider bites, drug injections

• Dilated & leaky blood vessels throughout body can be life-threatening

• The drug Epinephrine can reverse effects

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Immune System Diseases

• Immunodeficiencies

– Production or function of immune cells is abnormal

– May be congenital or acquired

– Examples include…

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Immune System Diseases - Immunodeficiencies

• Severe Combined Immunodeficiency Syndrome (SCIDS)

– Deficit of both B and T cells

– Have no immune response

– “Bubble Boy” Disease

– Some success with bone marrow transplants

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For twelve years David Vetter, born with combined immune deficiency, lived inside this plastic bubble at

Texas Children's Hospital in Houston, Texas, waiting for a cure to the disease that kept him prisoner.

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Immune System Diseases - Immunodeficiencies

• Acquired Immune Deficiency Syndrome (AIDS)

– The virus (Human Immunodeficiency Virus, or HIV) destroys Helper T Cells & Macrophages

– Cell-mediated immunity is reduced

– Virus then begins to multiply in lymph nodes – which takes longer in some than in others

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Immune System Diseases - Immunodeficiencies

– A patient is diagnosed with AIDS when the lymph nodes are destroyed & symptoms begin

– Symptoms include severe weight loss, night sweats, swollen lymph nodes, and increasingly frequent infections (gastrointestinal, pneumonia)

– Some of the drugs that are used to help act by inhibiting the enzymes the HIV virus needs in order to multiply, or helps to boost number of Helper T Cells

– THERE IS NO CURE OR VACCINE.

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Immune System Diseases - Immunodeficiencies

• Facts:

– 33.2 million worldwide have AIDS; 2.5 million are children under age 15

– 1.9 million died of AIDS in 2010; 330,000 were children under age 15

– Sub-Sahara Africa contains 68% of the AIDS population

– The median survival time after infection with HIV is estimated to be 9 to 11 years, depending on the HIV subtype

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Immune System Diseases

• Autoimmune Diseases– The immune system does not distinguish

between self and non-self– The body produces antibodies and T Cells

that attack its own tissues– Examples Include…

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Immune System Diseases - Autoimmune Diseases

– Multiple sclerosis: myelin sheaths in the white matter of brain & spinal cord are destroyed

– Type 1 diabetes: destroys pancreatic beta cells that produce insulin

– Rheumatoid arthritis: destroys joints– Lupus: affects kidney, heart, lung and skin